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Fellowship in Emergency Department Administration

The Partners Emergency Department Administration Fellowship, based in two of the top ten hospitals in the US, prepares residency trained Emergency Medicine specialists to become competent, knowledgeable and effective managers and leaders in the complex task of providing effective and efficient care in Emergency Departments. Fellows will develop expertise in care delivery processes, fiscal management, relations with other hospital departments, health policy as it relates to emergency care delivery, personnel management and quality and safety initiatives both at department and hospital levels. Much of the activity will involve participating in inter- professional teams.

Overview

The Partners Emergency Department Administration Fellowship, based in two of the top ten hospitals in the US, prepares residency trained Emergency Medicine specialists to become competent, knowledgeable and effective managers and leaders in the complex task of providing effective and efficient care in Emergency Departments. Fellows will develop expertise in care delivery processes, fiscal management, relations with other hospital departments, health policy as it relates to emergency care delivery, personnel management and quality and safety initiatives both at department and hospital levels. Much of the activity will involve participating in inter- professional teams.

Requirements

Applicants must be graduates of an ACGME-accredited emergency medicine residency program and have completed the program in good standing. A letter of interest, 3 letters of recommendation, including a letter from the residency program director, and a current curriculum vitae should be submitted to Fellowship Director, Dr. Ali Raja (asraja@partners.org). Interviews are conducted in the fall. Decisions are usually made in November.

Our Emergency Department Administration Research Fellowship is a parallel program designed for foreign emergency physicians to learn about emergency department administration. Interested applicants should contact Dr. Ali Raja (asraja@partners.org).

Curriculum

The goal of the fellowship is to develop physician experts who will become leaders in emergency care delivery both at the institutional level and national level through a combination clinical practice, analytic skills, research and education (details below).

These activities will train physicians for successful careers dedicated to furthering access to high-quality emergency care by learning to manage an ED that operates efficiently and safely, such that it is fiscally sound and has a high level of patient engagement. The need for well-trained administrators has never been greater as there were over 140 million visits to emergency departments in the U.S. in 2014 and visits are rising by about 7% per year. In keeping with this need, the proposed program has five overarching objectives for its trainees:

Obtain fundamental knowledge of ED administration with particular attention to the role of the ED in the hospital and the health care system as a whole

Obtain knowledge in health policy as it relates to emergency care

Obtain knowledge of the role of the ED in mass casualty situations

Develop the leadership skills necessary to move an ED to the highest levels of efficiency

Form a foundation for conducting research on the provision of emergency services.

The Fellowship begins July 1 and lasts two years. A one year fellowship is available for applicants who already have an advanced business or management degree (e.g., MBA).These candidates would take the Clinical Effectiveness Course at Harvard T.H. Chan School of Public Health (HSPH) as it is unlikely that their management degree included courses (such as Epidemiology) that are necessities in the medical arena.

Fellows divide their time among clinical care delivery, research, project management and classes at Harvard T.H. Chan School of Public Health which is on the Harvard Medical campus in the Longwood area of Boston, adjacent to Brigham and Women’s. The curriculum can be tailored to the fellow’s needs and interest by various weightings of the core elements described below.

The didactic portion of the fellowship is a common core, whose development and execution is shared across all sites. The experiential portion is site-specific though with identical goals. Applicants may apply to either (MGH/BWH) site.

This is a two year fellowship that includes clinical care and administrative tasks in a variety of settings including academic departments, community hospital emergency departments and in an urgent care clinic. Additionally it is paired with a MS program in Health Care Management at the Harvard T.H. Chan School of Public Health It is also possible for the fellow to pursue an MPH should the their interest be predominantly in the role of the ED in population health. This is a one year course that can be spread over two years.

Clinical Experience

As all fellows will have completed a residency in Emergency Medicine and be either Board Eligible or Board Certified by American Board of Emergency Medicine before starting the fellowship, they will meet the institutional criteria for appointment as Attending Physicians and deliver care in that role. Clinical care may occur at a variety of locations across the clinical enterprises of both BWH and MGH, namely the BWH Emergency Department, the MGH Emergency Department, the BWH Faulkner Emergency Department and BWH Urgent Care Foxboro. This clinical work embeds the fellow into the operation of the EDs and provides multiple occasions to examine and assess the quality and efficiency of the care delivered.